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Author Topic: MACI patella done. On the rehab road.  (Read 9210 times)

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Offline Thabo

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Re: MACI patella done. On the rehab road.
« Reply #15 on: April 17, 2011, 04:12:13 PM »
It is now 5 weeks following surgery and I am steadily progressing. Currently I am able to do short periods on a stationary bike- no resistance. The knee is still stiff but I am able to get 110 degrees of flexion- this is as much as I was able to do before the surgery. Now the challenge is to flex it even further and I will be working on that in the next 3 months. The swelling has mostly subsided and it is only slightly swollen- I expect this to subside in the next few weeks. It feels as if my other knee is now going to be the limiting factor on the stationary bike...
Overuse injury 2003.
Chondroplasty and medial synovectomy May 2006.
Now bilateral grade 3/4 chondromalacia.
Bilateral patelar microfracture 04/2009, R HTO 10/2009.
R hip impingement surgery 05/2010, L hip impingement surgery 09/2010
Stage 1 MACI  14/01/11
Stage 2 MACI R patella 11/03/11

cdubb

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Re: MACI patella done. On the rehab road.
« Reply #16 on: April 22, 2011, 05:48:01 AM »
Hey Thabo,
Glad to hear you're progressing right along.  I am actually finding as I am doing more, my knee I haven't yet had repaired is my more limiting factor also.  The past couple weeks have been rough for my non repaired knee.  Still not in a position to do anything with it for several months, but it's frustrating. 

Keep plugging away at the rehab.  While my repaired knee isn't perfect by any means, I am less than 6 months post op and many people say that months 18-24 is when they see the greatest improvement.

Offline Thabo

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Re: MACI patella done. On the rehab road.
« Reply #17 on: April 23, 2011, 12:34:38 AM »
Thanks cdubb. Always good to get positive news.

I have unfortunately had a bit of a setback in that I started getting some retropatellar clicking with heelslides and the stationary bike. I had a word with my MACI physio who told me to take it easy for a few days and let it settle. It is now feeling better but I still have some painless clicking. Will just have to see how it goes in the next few days. I have increased icing and reduced activity.
Hope for the best.
Overuse injury 2003.
Chondroplasty and medial synovectomy May 2006.
Now bilateral grade 3/4 chondromalacia.
Bilateral patelar microfracture 04/2009, R HTO 10/2009.
R hip impingement surgery 05/2010, L hip impingement surgery 09/2010
Stage 1 MACI  14/01/11
Stage 2 MACI R patella 11/03/11

Offline Thabo

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Re: MACI patella done. On the rehab road.
« Reply #18 on: April 27, 2011, 11:30:56 PM »
The knee has settled down and I am now back to where I was before the setback. I have about 90 degrees flexion so would need to work on it. Saw my physio yesterday and she was satisfied and has given me more intense exercises. Thus very small squats against a wall, balance work, rocking on toes etc. I am also working towards coming off the crutches and have been into town today. Did a fair amount of walking but used the support of both crutches. I really felt it in my R quads by the end! The knee is looking OK tonight and I am going to continue increasing weightbearing tomorrow. Still continuing to ice but I only need it once a day at night.
Overuse injury 2003.
Chondroplasty and medial synovectomy May 2006.
Now bilateral grade 3/4 chondromalacia.
Bilateral patelar microfracture 04/2009, R HTO 10/2009.
R hip impingement surgery 05/2010, L hip impingement surgery 09/2010
Stage 1 MACI  14/01/11
Stage 2 MACI R patella 11/03/11

Offline Thabo

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Re: MACI patella done. On the rehab road.
« Reply #19 on: May 10, 2011, 11:27:47 PM »
Progressing OK. I have returned to work yesterday and the knee is really not giving me much trouble at all. No swelling or increased heat at the end of the day although I continue to ice it at night. I have decided to go ahead with Hyperbaric Oxygen as I figure I need all the help I can get!!
I am now able to do stationary bike with no resistance and do it after work for about 15 minutes. It seems like the long and slow process of recovery have now really begun and I just have to keep motivating myself to continue regular physio,
Overuse injury 2003.
Chondroplasty and medial synovectomy May 2006.
Now bilateral grade 3/4 chondromalacia.
Bilateral patelar microfracture 04/2009, R HTO 10/2009.
R hip impingement surgery 05/2010, L hip impingement surgery 09/2010
Stage 1 MACI  14/01/11
Stage 2 MACI R patella 11/03/11

Offline JulianUK

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Re: MACI patella done. On the rehab road.
« Reply #20 on: June 02, 2011, 09:35:33 PM »
Hi Thabo,

Thanks for your kind words and that you are glad I check back from time to time.

It's good to see your rehab is progressing ok. You will have setbacks and plateau's with your rehab. Don't dispair and don't push it too much to soon. It definitely pays to be the tortoise and not the hair in this race!

Keep up the good work.

regards,

Jules
Julian

Offline Thabo

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Re: MACI patella done. On the rehab road.
« Reply #21 on: June 11, 2011, 03:58:59 PM »
Thanks for the words of encouragement Jules.

I am now exactly 92 days post-op. Fully back at work. Keep in mind that it is office work but I still have to get up at least every 10 minutes. |The knee is holding up well and does not complain at the end of the day.
I still get weekly physio and am now getting between 110 and at times 120 degrees flexion.
At this stage it looks like a slow but sure road to recovery. Just hanging in there and awaiting my next consultan appointment in about 3 weeks.
Overuse injury 2003.
Chondroplasty and medial synovectomy May 2006.
Now bilateral grade 3/4 chondromalacia.
Bilateral patelar microfracture 04/2009, R HTO 10/2009.
R hip impingement surgery 05/2010, L hip impingement surgery 09/2010
Stage 1 MACI  14/01/11
Stage 2 MACI R patella 11/03/11

Offline Thabo

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Re: MACI patella done. On the rehab road.
« Reply #22 on: July 15, 2011, 12:08:42 AM »
Long time since the last update. I have been really busy at work. Saving up to do the other knee!

My R knee is doing reasonably well and I already feel better than before the surgery. Far from ideal though but it is now only 4 months. At a recent followup with my consultant I was able to flex to 120 degrees and he seemed happy with my progress. Told me that he would tell me in November if he would do the other knee. I am hopefull. I try to do physio when I can. Lots of flexion. Small shallow squats and stationary bike as well as coremuscle work.
Overuse injury 2003.
Chondroplasty and medial synovectomy May 2006.
Now bilateral grade 3/4 chondromalacia.
Bilateral patelar microfracture 04/2009, R HTO 10/2009.
R hip impingement surgery 05/2010, L hip impingement surgery 09/2010
Stage 1 MACI  14/01/11
Stage 2 MACI R patella 11/03/11

Offline AARON14

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Re: MACI patella done. On the rehab road.
« Reply #23 on: September 16, 2011, 12:54:44 AM »
i currently live in the u.s and had my biopsy on 9/13 for the A.C.I . i know m.a.c.i. is not approved yet in the u.s.a because of the f.d.a . iam originally from israel , and from  what  i understand it is approved over there  .

does any body knows the differences ?

thanks - aaron

Offline petite knee

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Re: MACI patella done. On the rehab road.
« Reply #24 on: September 22, 2011, 11:50:01 PM »
Hi Aaron,
I found a scientific paper comparing ACI vs. MACI: http://web.jbjs.org.uk/cgi/content/abstract/87-B/5/640
It seems like there's no significant clinical difference between ACI and MACI at least according to this study. Generally the best predictor of success of any surgery is the surgeon's experience (how frequently they have performed the procedure, and therefore how skilled/comfortable they are with the procedure).
Hope this helps.
3/31/2008 ACLr
8/13/2010 Arthroscopic debridement, notchplasty, chondrolysis discovered
12/17/2010 Arthroscopic evaluation, chondroplasty (aka biopsy for ACI)
9/6/2011 ACI, HTO, TTO

Offline Thabo

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Re: MACI patella done. On the rehab road.
« Reply #25 on: November 30, 2011, 06:13:23 PM »
Update: My R knee is still doing well although progress is very slow. I still do stationary bike without any problems in the R knee and hoping to progress to the crosstrainer in the next week or so. I am now also getting ready for my first holiday away in 5 years ! I have been traveling in the past 5 years but always on the way to get another medical opinion abroad. Thus things are hopefully slowly changing. Saw my consultant this week and he is happy with my progress and has agreed to do the patella on my other knee in the early part of next year.
Overuse injury 2003.
Chondroplasty and medial synovectomy May 2006.
Now bilateral grade 3/4 chondromalacia.
Bilateral patelar microfracture 04/2009, R HTO 10/2009.
R hip impingement surgery 05/2010, L hip impingement surgery 09/2010
Stage 1 MACI  14/01/11
Stage 2 MACI R patella 11/03/11